Safety of the laparoscopic adjustable gastric band: 7-year data from a US center of excellence
Safety of the laparoscopic adjustable gastric band: 7-year data from a US center of excellence
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DOI：
10.1007/s00464-009-0858-8
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发表时间：
2010-08-01
影响因子：
3.1
通讯作者：
Fielding, George A.
中科院分区：
文献类型：
--
作者：
Carelli, Allison M.;Youn, Heekoung Allison;Fielding, George A.
在美国，腹腔镜可调节胃束带(LAGB)已成为最常见的减肥手术之一。作者的高容量学术医疗中心收集了自2001年1月以来接受LAGB治疗的近3000名患者的数据库。这一系列研究的目的是评估与LAGB相关的并发症，这是迄今为止单一机构中关于LAGB预后的最大系列研究。对2001年1月1日至2008年2月29日间接受LAGB手术的成年患者的纵向数据进行了回顾性分析。报告了所有患者的全身并发症和带状相关并发症。死亡和因体重增加而再次手术(LAGB后第二次带状植入或胃旁路手术)也被报道。在研究期间接受LAGB的2965名患者中，2909名符合纳入分析的标准，363名(12.2%)经历了一种或多种并发症。最常见的并发症是带状滑脱(4.5%)和与端口相关的问题(3.3%)。其他并发症很少见。仅有7例(0.2%)出现带状侵蚀。11例(0.4%)因体重增加而再次手术。在研究期间共发生10例死亡(0.34%)。三名患者在手术后30天内死亡。其中两例(0.06%)与手术有关，一例死于机动车事故。在研究过程中，7名患者死于与手术无关的原因。LAGB技术是一种相对安全的手术，早期或晚期并发症很少。很少有LAGB患者因体重增加而再次手术，死亡率非常低。
Laparoscopic adjustable gastric banding (LAGB) has become one of the most common weight-loss procedures performed in the United States. The authors' high-volume academic medical center has gathered a database of almost 3,000 patients who have undergone LAGB since January 2001. The goal of this series, the largest to date on LAGB outcomes at a single institution, was to assess complications associated with LAGB.A retrospective analysis was performed using longitudinal data from adult patients who underwent LAGB between 1 January 2001, and 29 February 2008. General and band-related complications were reported for all patients. Death and reoperation for weight gain (LAGB followed by either a second band insertion or a gastric bypass) also were reported.Of the 2,965 patients who received LAGB during the study period, 2,909 met the criteria for inclusion in this analysis, and 363 (12.2%) experienced one or more complications. The most common complications were band slip (4.5%) and port-related problems (3.3%). Other complications were rare. Only seven patients (0.2%) had band erosion. Eleven patients (0.4%) underwent reoperation for weight gain. A total of 10 deaths (0.34%) occurred during the study period. Three patients died within 30 days of surgery. Two of these deaths (0.06%) were related to surgery, and one resulted from a motor vehicle accident. Seven patients died of causes unrelated to surgery during the course of the study.The LAGB technique is a relatively safe procedure with few early or late complications. Few LAGB patients undergo reoperation for weight gain, and mortality is very rare.